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Erectile dysfunction, regardless of its cause, can lead to a host of related issues, including relationship problems, as well as depression and anxiety.
- TABLE OF CONTENTS
- Introduction
- Psychological Causes of ED
- Treating All Contributing Factors
- Anxiety
- Depression
- Guilt
- Indifference
- Low Self-Esteem
- Stress
- Buy Viagra Online
Introduction
Viagra was the first of a class of medications known collectively as PDE5 inhibitors. These drugs helped to clear up a widely held misconception about the causes of erectile dysfunction. Prior to the introduction of Viagra in 1998, male impotence was believed to be caused primarily, if not exclusively, by psychological or psychogenic issues. Men who found it difficult to get and keep an erection were usually told that the problem was all in their head.
Viagra turned that flawed theory on its head. In short order, it became clear that the vast majority of ED was in fact caused by insufficient blood flow to the penis, the sort of problem that Viagra was designed to treat. In fact, medical experts today reckon that compromised vascular health accounts for up to 80 percent of all ED.
Today, it seems as though the advent of Viagra has turned thinking around so dramatically that most folks believe that all one needs to do to treat their symptoms of impotence is to pop a pill, specifically a PDE5 inhibiting-drug. This turnaround in thinking overlooks the very real fact that a a significant number of men actually do suffer from psychogenic ED, a condition that doesn’t really respond to Viagra or any of the other oral ED drugs.
Medical experts estimate that psychological problems account for up to 20 percent of all male impotence. On top of that, men whose ED is caused by blood flow issues can also develop psychological problems such as depression and/or anxiety that arise during the struggle to find an answer.
It’s important that health care providers consider not just the root cause of ED but some of the collateral emotional issues that might arise as an effect of male impotence. Once all the problems have been identified, it’s easier to provide a comprehensive treatment plan that covers all bases.
Psychological Causes of ED
In its overview of psychological factors that can lead to ED, WebMD.com notes that while these issues are the primary cause in 10 to 20 percent of all ED diagnoses, such issues can also arise as “a secondary reaction” to ED of physiological origin.
Among the most widely seen psychological causes of ED, according to WebMD, are the following:
- Anxiety
- Depression
- Guilt
- Indifference
- Low Self-Esteem
- Stress
These same symptoms are sometimes observed in men who’ve struggled with impotence that was caused primarily by insufficient blood flow to the penis or related physical causes.
Treating All Contributing Factors
For ED that’s caused by vascular problems unaccompanied by any symptoms of secondary psychological issues, it can be as simple as taking an Viagra or other PDE5 inhibitors 30 to 60 minutes before the start of sexual activity.
However, for more complex cases in which both physiological and psychological forces are at work, the patient can address the physical aspects of ED with Viagra but may need professional counseling to address the psychological issues.
Men whose ED is of psychogenic origin will probably need counseling as the first line of treatment to uncover and address the root causes of the mental barriers to normal erectile function. However, in the latter stages of psychotherapy, they might find the added boost provided by Viagra will give them an extra measure of confidence when resuming sexual activity.
Anxiety
Extreme anxiety over any current problem, including financial and relationship matters, can make it difficult for a man to get and keep an erection suitable for intercourse. However, it’s performance anxiety that accounts for the lion’s share of anxiety-related ED problems.
Ideally, a man wants to satisfy his sexual partner. Prior incidents of less than stellar performance can instill fear that he simply will not perform in the bedroom as he’s expected to do. The more he frets about the quality of his performance, the more that performance is likely to suffer.
As couples counselor Sally Connolly told EverdayHealth.com: “For difficulty with getting an erection, it is important to have a thorough medical exam; however, erectile dysfunction is often due to performance anxiety. The more that you worry about having an erection (just like the harder you try to fall asleep), the more likely it is that you’ll have difficulty. Therapy can help men let go of their worry about the erection and learn to relax and enjoy the sexual and sensual experience.”
Depression
Depending on its severity, depression affects virtually every aspect of one’s life and has both psychological and physiological symptoms. Typical symptoms of depression include profound fatigue, irritability, inability to concentrate, decreased self-esteem, disturbed sleep patterns, lack of appetite, and a loss of interest in sex.
Broadcast and print media are full of advertising for the latest antidepressant, so it might be easy to think that one of those will be the answer to all your problems, including ED. While an antidepressant might help to clear up some depression symptoms, it may actually make it even more difficult to get an erection, simply as a side effect of the medication.
If depression is at the root of your ED problem, psychotherapy might be the best course of treatment. As counseling helps you to shed your feelings of hopelessness, taking Viagra or another PDE5 inhibitor also might help you to get back in the game.
Guilt
Performance anxiety — or the fear that you are not satisfying your partner sexually — can lead to guilt. And guilt simply helps to build greater performance anxiety, making it even more difficult to perform sexually. It is in many ways a vicious cycle.
‘For difficulty with getting an erection, it is important to have a thorough medical exam; however, erectile dysfunction is often due to performance anxiety. The more that you worry about having an erection (just like the harder you try to fall asleep), the more likely it is that you’ll have difficulty. Therapy can help men let go of their worry about the erection and learn to relax and enjoy the sexual and sensual experience.’
— Sally Connolly, Counselor
Couples Counseling of Louisville (Kentucky)
Indifference
Seen most often in men of advanced age who no longer seem to care much about sex, indifference can also arise as a side effect of certain medications and because of fundamental problems in the relationship between your partner and you.
Indifference, at least as evidenced in a lack of interest in sex, might also arise as a consequence of abnormally low blood levels of testosterone, the primary male sex hormone. This then becomes a physiological problem that can sometimes be successfully resolved through hormone replacement therapy.
Low Self-Esteem
Low self-esteem, at least in the sexual context, can arise because of past disappointments in intimate relationships, in other words, an aggravated form of fear about your perceived inability to perform. However, it can also be traced to incidents in your past, particularly during childhood, when you were made to feel somehow inadequate.
Stress
Unless you’re a hermit living far away from the pressures of 21st-century life, stress is almost impossible to avoid. However, you can take proactive steps to manage the stress in your life. And you can also try to avoid unnecessary stress by avoiding non-essential interactions that you know will wear you out.
As to proactive steps you can take for managing stress, meditation is a good way to start. You don’t have to visit a guru in India to learn how to meditate. Just find a quiet spot, clear your mind of troublesome thoughts, and breathe slowly in and out. Exercise is another good way to diminish the effects of stress, as is keeping a diary of the stressors in your daily life, the better to recognize them in the future.
Buy Viagra Online
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For the treatment of ED caused by compromised blood flow to the penis, Viagra and the other PDE5 inhibitors remain the treatment of choice.
Used in combination with psychological counseling, these oral ED medications can also help men with psychogenic ED to regain the confidence they need to resume normal sexual function.
Ordering these drugs from a reputable online facilitator such as eDrugstore.com can save you both time and money. To learn how, pay a visit to eDrugstore’s Erectile Dysfunction page.
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